Ryan R Zleik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109013 Issued in CA

Practice address

3967 Missouri Flat Rd Ste 120
Placerville, CA 95667-5250

Phone

(530) 642-2876

NPI assigned

Aug 1, 2023

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stout Dental Corporation

  dba Missouri Flat Dental Group

  • General Practice Dentistry
  • Placerville, CA
  • NPI 1396141750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1386326361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 FRENCH DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306033",
            "telephone_number": "402-214-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 MISSOURI FLAT RD STE 120",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675250",
            "telephone_number": "530-642-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLEIK",
        "first_name": "RYAN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Susan Zelinsky
• Daming Zhu, MD, PHD
• Siri Kate Ziese, D.D.S.
• Amber Christene Zinser, RDHAP
• Michael Joseph Zirhut, O.D.
• Elizabeth Jane Zorn

• General Practice Dentistry in Placerville, CA
• Providers in Placerville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.